中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2012年
21期
2578-2581
,共4页
王玉容%沈耀红%徐瑾%陈大伟%应佑国%方玉明%秦宗和
王玉容%瀋耀紅%徐瑾%陳大偉%應祐國%方玉明%秦宗和
왕옥용%침요홍%서근%진대위%응우국%방옥명%진종화
肺炎,呼吸机相关性%吸痰%0.9％氯化钠溶液%机械通气
肺炎,呼吸機相關性%吸痰%0.9％氯化鈉溶液%機械通氣
폐염,호흡궤상관성%흡담%0.9％록화납용액%궤계통기
Pneumonia,ventilator associated%Endotracheal suctioning%0.9％ Sodium chloride solution%Mechanical ventilation
目的 探讨吸痰前气道内注射0.9％氯化钠溶液对机械通气患者各方面的影响.方法 选取ICU机械通气超过72 b的患者80例,随机分为实验组与对照组各40例,实验组患者吸痰前气道内注射0.9％氯化钠溶液5 ml,对照组不注射0.9％氯化钠溶液,观察比较两组患者呼吸机相关性肺炎(VAP)发生率、痰培养阳性率、机械通气时间及ICU入住时间.结果 实验组患者VAP发生率为25.0％,对照组为15.0％,两组比较,差异无统计学意义(P＞0.05);实验组患者痰培养阳性率为47.5％,高于对照组的22.5％,差异有统计学意义(x2=5.495,P＜0.05);实验组患者机械通气时间及ICU入住时间分别为(7.35±3.89),(10.88±4.37)d,均高于对照组的(5.73±2.45),(9.00±3.59)d,差异均有统计学意义(U分别为602.0,589.5;P ＜0.05).结论 吸痰前气道内注射0.9％氯化钠溶液可提高痰培养阳性率,增加患者机械通气时间及ICU入住时间,不应该作为常规护理措施.
目的 探討吸痰前氣道內註射0.9％氯化鈉溶液對機械通氣患者各方麵的影響.方法 選取ICU機械通氣超過72 b的患者80例,隨機分為實驗組與對照組各40例,實驗組患者吸痰前氣道內註射0.9％氯化鈉溶液5 ml,對照組不註射0.9％氯化鈉溶液,觀察比較兩組患者呼吸機相關性肺炎(VAP)髮生率、痰培養暘性率、機械通氣時間及ICU入住時間.結果 實驗組患者VAP髮生率為25.0％,對照組為15.0％,兩組比較,差異無統計學意義(P＞0.05);實驗組患者痰培養暘性率為47.5％,高于對照組的22.5％,差異有統計學意義(x2=5.495,P＜0.05);實驗組患者機械通氣時間及ICU入住時間分彆為(7.35±3.89),(10.88±4.37)d,均高于對照組的(5.73±2.45),(9.00±3.59)d,差異均有統計學意義(U分彆為602.0,589.5;P ＜0.05).結論 吸痰前氣道內註射0.9％氯化鈉溶液可提高痰培養暘性率,增加患者機械通氣時間及ICU入住時間,不應該作為常規護理措施.
목적 탐토흡담전기도내주사0.9％록화납용액대궤계통기환자각방면적영향.방법 선취ICU궤계통기초과72 b적환자80례,수궤분위실험조여대조조각40례,실험조환자흡담전기도내주사0.9％록화납용액5 ml,대조조불주사0.9％록화납용액,관찰비교량조환자호흡궤상관성폐염(VAP)발생솔、담배양양성솔、궤계통기시간급ICU입주시간.결과 실험조환자VAP발생솔위25.0％,대조조위15.0％,량조비교,차이무통계학의의(P＞0.05);실험조환자담배양양성솔위47.5％,고우대조조적22.5％,차이유통계학의의(x2=5.495,P＜0.05);실험조환자궤계통기시간급ICU입주시간분별위(7.35±3.89),(10.88±4.37)d,균고우대조조적(5.73±2.45),(9.00±3.59)d,차이균유통계학의의(U분별위602.0,589.5;P ＜0.05).결론 흡담전기도내주사0.9％록화납용액가제고담배양양성솔,증가환자궤계통기시간급ICU입주시간,불응해작위상규호리조시.
Objective To explore the effect of 0.9％ sodium chloride solution airway instillation before endotracheal suctioning on machinery ventilates patients.Methods Totals of 80 patients who received mechanical ventilation longer than 72 hours were enrolled in this study and were randomly divided into experimental group and the control group with 40 cases each group.And 5ml 0.9％ sodium chloride solution was instilled into the airway of each case in experimental group before the endotracheal suctioning,while the same procedure was not performed in control group.The incidence of VAP,the positive rate of sputum culturing,themechanical ventilation time and the staying time in ICU were observed and respectively compared between the two groups.Results The incidence of VAP was 25.0％ in experimental group and 15.0％ in control group,and the difference was no statistically significance(P ＞0.05).The positive rate of sputum culturing was 47.5％ in experimental group,while that was 22.5％ in control group,and the difference was statistically significant( x2 =5.495,P ＜ 0.05 ).The mechanical ventilation time and the staying time in ICU of experimental group respectively were higher than that of control group [ ( 7.35 ± 3.89 ) vs( 5.73 ± 2.45 ),( 10.88 ± 4.37 ) vs(9.00 ± 3.59 ) ],and the difference was statistically significant ( U =602.0,589.5,respectively ; P ＜ 0.05 ).Conclusions Airway instillation of 0.9％ sodium chloride solution before endotracheal suctioning can increase the positive rate of sputum culturing,mechanical ventilation time,and the staying time in ICU for patients,so it should not be performed as a routine nursing procedure.
